Does UnitedHealthcare cover Wegovy?
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UHC covers Wegovy on plans that include the obesity-medication benefit. The employer chooses whether to include this benefit, so two UHC members can have different coverage.
Typical requirements
- Obesity-drug benefit must be in plan design
- BMI ≥30, or ≥27 with comorbidity
- Prior auth approval
If you're denied
First confirm the obesity benefit is in your plan. If yes and you're denied, appeal with medical necessity. If no, the appeal will fail — work with your HR for next year's open enrollment.
Where to get Wegovy
Telehealth services that handle Wegovy, useful while prior auth processes or as a cash-pay alternative. We may earn a commission. See disclosure.
Ro
from $145/mo- Best for insured patients
- Best for clinical oversight
Ro Body — branded GLP-1 weight care program
Hims
from $199/mo- Best for cash-pay
- Best for speed
Hims Weight Loss — compounded GLP-1 from $199/mo
Noom Med
from $179/mo- Best for coaching
- Best for maintenance
Noom Med — GLP-1 + behavioral psychology coaching
UHC not the right plan?
Coverage varies dramatically between carriers and even between plans at the same carrier. Compare GLP-1 coverage across 10 major US insurers, or run the insurance pre-check to estimate your specific plan's odds.
More UHC coverage
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Frequently asked
Does UnitedHealthcare cover Wegovy?+
UHC covers Wegovy on plans that include the obesity-medication benefit. The employer chooses whether to include this benefit, so two UHC members can have different coverage.
Does UnitedHealthcare require prior authorization for Wegovy?+
Yes. UnitedHealthcare requires prior authorization before dispensing Wegovy. Your prescriber submits the request with documentation of medical necessity (BMI, comorbidities, prior therapy). Turnaround is typically 1-4 weeks.
What if UnitedHealthcare denies my Wegovy prescription?+
First confirm the obesity benefit is in your plan. If yes and you're denied, appeal with medical necessity. If no, the appeal will fail — work with your HR for next year's open enrollment.